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dc.contributor.authorKleinman, Paul K.
dc.contributor.authorDiamond, David A.
dc.contributor.authorKarellas, Andrew
dc.contributor.authorSpevak, Melissa R.
dc.contributor.authorNimkin, Katherine
dc.contributor.authorBelanger, Patricia L.
dc.date2022-08-11T08:10:02.000
dc.date.accessioned2022-08-23T16:53:07Z
dc.date.available2022-08-23T16:53:07Z
dc.date.issued1994-05-01
dc.date.submitted2007-12-10
dc.identifier.citation<p>AJR Am J Roentgenol. 1994 May;162(5):1151-4; discussion 1155-6.</p>
dc.identifier.issn0361-803X (Print)
dc.identifier.doi10.2214/ajr.162.5.8166001
dc.identifier.pmid8166001
dc.identifier.urihttp://hdl.handle.net/20.500.14038/42201
dc.description.abstractOBJECTIVE. Radionuclide voiding cystography is generally advocated for the reevaluation of proved vesicoureteral reflux. The purpose of this study was to assess the efficacy of tailored low-dose fluoroscopic voiding cystourethrography for this purpose. SUBJECTS AND METHODS. Forty-five girls (2 years 9 months to 19 years 7 months old; mean, 7.4 years) who had proved reflux were examined with tailored low-dose voiding cystourethrography. The technique used a low-dose fluoroscopic system and a computer-based video frame grabber that produced frame-averaged digital video fluoroscopic hard copies. A tailored voiding cystourethrographic protocol was designed to minimize ovarian radiation dose. Digital images were compared with standard 105-mm spot films in a similar group of 25 children. RESULTS. The tailored low-dose fluoroscopic technique produced diagnostically adequate images in all patients that were comparable in quality to standard spot films. The ovarian dose was 1.7-5.2 mrad (0.017-0.052 mGy) with a mean of 2.9 mrad (0.029 mGy). This compared favorably with the lowest reported doses with the radionuclide technique. CONCLUSION. Tailored low-dose fluoroscopic voiding cystourethrography is an attractive and practical alternative to the radionuclide technique in girls with proved vesicoureteral reflux.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10658697&dopt=Abstract ">Link to article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.2214/ajr.162.5.8166001
dc.subjectChild
dc.subjectFemale
dc.subjectFluoroscopy
dc.subjectHumans
dc.subjectOvary
dc.subjectRadiation Dosage
dc.subjectRadiation Protection
dc.subjectRadiographic Image Enhancement
dc.subjectRadiometry
dc.subjectUrethra
dc.subjectUrinary Bladder
dc.subjectUrination
dc.subjectVesico-Ureteral Reflux
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleTailored low-dose fluoroscopic voiding cystourethrography for the reevaluation of vesicoureteral reflux in girls
dc.typeJournal Article
dc.source.journaltitleAJR. American journal of roentgenology
dc.source.volume162
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/57
dc.identifier.contextkey403116
html.description.abstract<p>OBJECTIVE. Radionuclide voiding cystography is generally advocated for the reevaluation of proved vesicoureteral reflux. The purpose of this study was to assess the efficacy of tailored low-dose fluoroscopic voiding cystourethrography for this purpose. SUBJECTS AND METHODS. Forty-five girls (2 years 9 months to 19 years 7 months old; mean, 7.4 years) who had proved reflux were examined with tailored low-dose voiding cystourethrography. The technique used a low-dose fluoroscopic system and a computer-based video frame grabber that produced frame-averaged digital video fluoroscopic hard copies. A tailored voiding cystourethrographic protocol was designed to minimize ovarian radiation dose. Digital images were compared with standard 105-mm spot films in a similar group of 25 children. RESULTS. The tailored low-dose fluoroscopic technique produced diagnostically adequate images in all patients that were comparable in quality to standard spot films. The ovarian dose was 1.7-5.2 mrad (0.017-0.052 mGy) with a mean of 2.9 mrad (0.029 mGy). This compared favorably with the lowest reported doses with the radionuclide technique. CONCLUSION. Tailored low-dose fluoroscopic voiding cystourethrography is an attractive and practical alternative to the radionuclide technique in girls with proved vesicoureteral reflux.</p>
dc.identifier.submissionpathoapubs/57
dc.contributor.departmentDepartment of Urology
dc.contributor.departmentDepartment of Radiology
dc.source.pages1151-4; discussion 1155-6


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